钳夹技术辅助微创治疗股骨转子间骨折的临床机制与效果  

The clinical effects and mechanism clamp aided minimally invasive treatment of intertrochanteric fracture

作　　者：刘堂鑫[1] 姚忠军[1] 何明武[1] 田彩霞[2] 

机构地区：[1]十堰市太和医院骨科 [2]湖北医药学院附属人民医院检验科,湖北十堰442000

出　　处：《临床和实验医学杂志》2016年第12期1198-1200,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨钳夹技术辅助微创治疗股骨转子间骨折的临床机制与效果。方法选取2011年4月至2011年9月收治的股骨转子间骨折患者88例,根据随机数字表法分为治疗组与对照组各44例。对照组给予股骨近端锁定钢板内固定治疗,治疗组在对照组治疗的基础上辅助钳夹技术进行治疗。观察两组的手术创伤、术后恢复情况与并发症发生情况。结果治疗组术后引流量和术后住院时间均明显少于对照组(P<0.05),而两组的术中失血量、手术时间对比差异无统计学意义(P>0.05)。术后3个月评定,治疗组的优良率90.9%明显高于对照组的75.0%(P<0.05)。治疗组与对照组术后3个月的髋关节Harris评分分别为94.45±4.11分和89.13±3.89分,均明显高于术前的60.35±3.89分和60.76±4.11分(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组术后3个月的伤口感染、神经损伤、下肢静脉血栓、髋内翻等并发症发生率明显低于对照组(P<0.05)。结论钳夹技术辅助微创治疗股骨转子间骨折能促进患者近期康复与远期功能的恢复,具有很好的安全性,值得临床推广应用。Objective To investigate the clinical effects and mechanism clamp aided minimally invasive treatment of intertrochanteric fracture. Methods From April 2011 to September 2011,88 intertrochanteric fracture patients in our hospital were equally divided into treatment group and control group randomly. The control group received proximal femoral locking plate fixation,and the treatment group were added clamp technique for treatment. The operation trauma,postoperative recovery and complication of the two groups were observed. Results The postoperative drainage and postoperative hospital stay in the treatment group were significantly less than the control group（ P 0. 05）,while operative time and blood loss between the two group were no significant difference（ P 〈0. 05）. The postoperative 3 month treatment excellent rates in the treatment group and the control group were 90. 9% and 75. 0%,respectively. The excellent rate of treatment group was significantly higher than the control group（ P 〉0. 05）. The postoperative 3 month Harris hip scores in the treatment group and control group were 94. 45 ± 4. 11 points and89. 13 ± 3. 89 points that were significantly higher than the preoperative of 60. 35 ± 3. 89 points and 60. 76 ± 4. 11 points（ P 〈0. 05）,while compared differences between groups were statistically significant（ P 〈0. 05）. The postoperative 3 month deep vein thrombosis,varus,complications of wound infection,nerve injury incidences in the treatment group were significantly less than those in the control group（ P〈 0. 05）. Conclusion Clamp aided minimally invasive treatment of intertrochanteric fracture can contribute to the recent restoration and long- term rehabilitation of patients,it has good security that worthy of clinical application.

关 键 词：股骨转子间骨折 钳夹技术 股骨近端锁定钢板 并发症 

分 类 号：R687.3[医药卫生—骨科学]